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Medical payments coverage (MedPay): how it works

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A-MAX Editorial Team

Reviewed by Jayson Cheves, Licensed Insurance Agent

Updated October 29, 2026
6 min read

Short answer

Auto insurance medical payments coverage, or MedPay, pays medical bills for you and your passengers after a car accident, no matter who caused it. It is optional, it pays up to a per-person limit you choose, and it can help with health insurance deductibles and co-pays. In California and Arizona, which have no PIP, MedPay is the optional medical coverage.


Adding MedPay to your auto insurance plan is usually a small change to your premium. The quickest way to see what it adds is to get a quote.

Medical payments coverage

Medical payments (MedPay) insurance coverage is one of two coverages you can purchase on your auto insurance policy to cover the medical expenses you and your passengers incur in a car accident, whether the accident is your fault or not. The other is personal injury protection (PIP).

How auto insurance medical payments coverage works

Auto medical coverage explained in plain terms:

  • The limit. You choose a MedPay limit when you buy the policy. It is a per-person amount, so each person hurt in your car can be paid up to that limit.

  • Who it covers. You, your passengers, and in many policies you and your household members when you ride in someone else's car or are hit as a pedestrian.

  • Fault does not matter. MedPay pays on your injuries without waiting for anyone to decide who caused the accident. That is the main difference from the other driver's liability coverage, which pays only if they are found at fault.

  • What it pays for. Reasonable medical expenses from the accident, up to your limit. It does not pay for damage to the car.

How a claim usually goes:

  • Get medical care and keep every bill and receipt.

  • Report the accident to your carrier and tell them you want to use MedPay.

  • Send the bills. The carrier pays up to your limit, either to you or to the provider.

  • If the bills are larger than your limit, the rest may go to your health insurance or, if the other driver was at fault, to their liability coverage.

Payment order between MedPay, health insurance and the other driver's coverage varies by policy and by state, so ask your carrier how it works on yours.

What does medical payments insurance cover?

The medical payments portion of your auto insurance policy is a set limit per person that your car insurance company will pay for you and your passengers when you are injured in a car accident. Because it pays regardless of fault, you do not have to wait for the at-fault driver's insurance to accept the claim before your bills get paid.

MedPay can also apply when you are injured as a passenger in a vehicle, even if it's not your car. For example, suppose you are in an accident while you're in your friend's car as a passenger, and you have MedPay on your auto insurance policy.

Depending on the policies involved, your MedPay and your friend's MedPay may both come into play. And if you are a pedestrian hit by a vehicle, the MedPay on your own car insurance policy can help pay for your injuries.

Depending on the policy, here are some examples of the medical expenses that medical payments coverage can pay for:

  • Ambulance

  • Dental procedures

  • Doctor visits

  • Funeral expenses

  • Health insurance deductible and your co-pays

  • Hospital visits and stays

  • Nursing services

  • Prostheses

  • Rehabilitation costs

  • Surgery

  • X-rays

Is auto insurance medical payments coverage worth it?

For many drivers, yes. MedPay is worth a look if any of these fit:

  • Your health insurance has a high deductible or large co-pays.

  • You do not have health insurance at all.

  • You often carry passengers, such as kids or coworkers.

  • You live in California or Arizona, where there is no PIP to fall back on.

It matters less if you already carry PIP with strong limits, or if your health plan has a low deductible. Either way, it is a coverage you choose, not one you are stuck with.

Is medical payments coverage required?

Not in the three states A-MAX serves. MedPay is optional in Texas, California and Arizona. What the law requires is liability coverage, which pays for injuries you cause to other people, not your own. See the minimums for Texas and California.

The difference between PIP and medical payments coverage

MedPay coverage only covers medical expenses for you and your passengers resulting from a car accident. Personal injury protection (PIP) coverage is a separate coverage that will cover your medical expenses as well as additional things such as:

  • reimbursement for lost time at work due to the accident
  • funeral expenses
  • benefits to survivors of a driver or passenger involved in the accident
  • coverage for things you cannot do because of the injuries you incurred in the accident, such as childcare, house cleaning, and transportation services

PIP coverage is required in some states called "no-fault states," whereas medical payment coverage is optional.

Auto insurance medical payments vs. bodily injury liability

Bodily injury liability coverage is required in most states to cover the injuries you cause to another driver or their passengers in an accident that is your fault. This coverage does not pay for the injuries you or your passengers suffer in the accident.

Medical payments or personal injury protection are the coverages that pay for your injuries and those of your passengers. If the other driver is at fault and has no insurance, uninsured motorist coverage is the coverage that steps in.

Which states offer medical payments coverage?

Medical payment coverage is optional, and not every state offers it. Here is where the three states A-MAX writes in stand:

  • Texas. Both are available. Texas policies must include personal injury protection unless you reject it in writing. MedPay can be added as well.

  • California. There is no PIP in California. MedPay is the optional equivalent.

  • Arizona. There is no PIP in Arizona either. Medical Payments is the optional coverage that does the same job.

If you are buying a policy in another state, ask your carrier which of the two is available there.

How much medical payments coverage should I buy?

Medical payment coverage is optional, but a good starting point is enough to cover the deductible on your health insurance. Many health insurance plans have steep deductibles that you must satisfy before your health insurance company will step in to pay for medical costs.

Having MedPay or PIP coverage can make a challenging situation easier if it can cover these expenses for you and your passengers. If you also carry collision and comprehensive, a full coverage quote can show MedPay limits side by side.

Want to see what MedPay adds to your policy?

About this page

Written by the A-MAX Editorial Team. Reviewed by Jayson Cheves, Licensed Insurance Agent. We review and update it as state rules and carrier availability change.


Last updated October 29, 2026
This content is for educational purposes only and is not insurance advice. It does not replace guidance from a licensed agent in your state. Coverage, carriers, and eligibility vary by state and are subject to underwriting approval. A-MAX Insurance Services, Inc. has helped Texas, California, and Arizona drivers find auto coverage since 2002.

FREQUENTLY ASKED QUESTIONS

MedPay pays medical bills for you and your passengers after a car accident, even if it's not your fault. Depending on the policy, it can also pay when you are a passenger in another vehicle or a pedestrian hit by a car.

No. Medical payments coverage pays only for medical expenses resulting from a car accident. Personal injury protection (PIP) pays for your medical costs and can also reimburse lost wages, funeral expenses, and other costs.

It is optional, but it can help. If your health insurance policy has a deductible, MedPay can help pay that deductible after a car accident. If you do not have health insurance, MedPay helps with some of the cost of your medical bills from an accident.

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